{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:47:10Z","timestamp":1788173230527,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"S473","license":[{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop a model for increasing the coverage of kangaroo mother care (KMC), which involved \u22658\u2009h of skin\u2010to\u2010skin contact per day and exclusive breastfeeding, for small babies with birth weight\u2009&lt;\u20092000\u2009g in South Ethiopia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A mixed methods study was conducted between June 2017 and January 2019 at four hospitals and their catchment areas. Iterative cycles of implementation, program learning and evaluation were used to optimise KMC implementation models. The study explored the community\u2010facility continuum of care and assessed the proportion of neonates with a birth weight less than 2000\u2009g receiving effective KMC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three KMC implementation models were tested with Model 2 being the final version. This model included enhanced identification of home births, improved referral linkages, immediate skin\u2010to\u2010skin care initiation in facilities and early contact after discharge. These improvements resulted in 86% coverage of effective facility\u2010based KMC initiation for eligible babies. The coverage was 81.5% at discharge and 57.5% 7\u2009days after discharge. The mean age of babies at KMC initiation was 8.2\u2009days (SD\u2009=\u20095.7).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study found that the KMC implementation model was feasible and can lead to substantial population\u2010level KMC coverage for small babies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16812","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T07:05:41Z","timestamp":1690787141000},"page":"65-76","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Development and evaluation of a kangaroo mother care implementation model in South Ethiopia"],"prefix":"10.1111","volume":"112","author":[{"given":"Henok","family":"Tadele","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"},{"name":"Department of Paediatrics and Child Health, College of Medicine and Health Sciences Hawassa University  Hawassa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dejene Hailu","family":"Kassa","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Medicine and Health Sciences Hawassa University  Hawassa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fitsum W.","family":"Gebriel","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health, College of Medicine and Health Sciences Hawassa University  Hawassa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selamawit Mengesha","family":"Bilal","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Medicine and Health Sciences Hawassa University  Hawassa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel","family":"Gedefaw","sequence":"additional","affiliation":[{"name":"Department of 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